AUGUSTA UROLOGY SURGICENTER LLC NPI 1114984523

NPI Information

  • NPI: 1114984523
  • Provider Name: AUGUSTA UROLOGY SURGICENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 11D0945212
  • Address: 811 13TH STREET, SUITE 17
    AUGUSTA, GA
    ZIP 30901
  • Phone: (706) 724-4111

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NPI Details

AUGUSTA UROLOGY SURGICENTER, LLC is an ambulatory surgical clinic center in Augusta, GA. AUGUSTA UROLOGY SURGICENTER, LLC NPI is 1114984523. The provider is registered as an organization entity type.

The provider's business location address is:

811 13TH STREET, SUITE 17
AUGUSTA, GA
ZIP 30901-700
Phone: (706) 724-4111
Fax: (706) 823-0533

The provider's authorized official is Linda G. Flowers .
The authorized official title is Business Manager and has the following contact phone number (706) 724-4111.

The CLIA number assigned to this NPI record is 11D0945212 - ambulatory surgery center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, onabotulinumtoxina, 1 unit (HCPCS:J0585)
  • Diagnostic exam of bladder and urethra using an endoscope (HCPCS:52000)
  • Ultrasound scan of pelvic region through rectum (HCPCS:76872)
  • Biopsy of prostate gland (HCPCS:55700)
  • Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope (HCPCS:52310)
  • Dilation of urethra using an endoscope (HCPCS:52281)
  • Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants (HCPCS:C9740)
  • Exam with injections of chemical for destruction of bladder using an endoscope (HCPCS:52287)
  • Insertion of stent in ureter using an endoscope (HCPCS:52332)
  • Crushing, fragmenting, and removal of bladder stones, less than 2.5 cm (HCPCS:52317)
  • Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm (HCPCS:52235)
  • Crushing of stone of ureter with insertion of stent using an endoscope (HCPCS:52356)
  • Imaging of urinary tract following injection of a contrast agent (HCPCS:74420)
  • Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm (HCPCS:52234)
  • Insertion of tube into ureter using an endoscope through bladder area (HCPCS:52005)
  • Removal of foreskin (older than 28 days) (HCPCS:54161)

The enumeration date for this NPI number is 4/28/2006 and was last updated on 1/11/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical121-153GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100809509AMEDICAIDGEORGIA
2111143ASCAMEDICARE PINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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